| Criscar P.a. | |
|
3215 Steck Ave Ste 205 Austin TX 78757-7584 | |
| (512) 467-2500 | |
| (512) 467-2502 |
| Full Name | Criscar P.a. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3215 Steck Ave Ste 205, Austin, Texas |
| Authorized Official Name and Position | Mariela Josefina Fuenmayor (PRESIDENT) |
| Authorized Official Contact | 5124672500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Criscar P.a. 3215 Steck Ave Ste 205 Austin TX 78757-7584 Ph: (512) 467-2500 | Criscar P.a. 3215 Steck Ave Ste 205 Austin TX 78757-7584 Ph: (512) 467-2500 |
| NPI Number | 1902037906 |
|---|---|
| Provider Enumeration Date | 08/07/2009 |
| Last Update Date | 08/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902037906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | M9292 (Texas) | Primary |
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